| NPI | 1154796506 |
|---|---|
| Doing Business As | 986 PHARMACY #8026 |
| Entity Type | Organization |
| Authorized Contact | ROBERT OJEDA CEO 626-252-2736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PH03470) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2024-08-02 |